Trauma s01e08 Episode Script


I feel like a tourist.
You are a tourist.
Hey, hey, hey.
Troy, don't hit your sister.
Come on.
I came here because it's Nancy's favorite.
And judging by how often you come to visit me, I'd say that you are a tourist.
I never miss a birthday.
Thank God for small favors.
So, Troy Yes, Dad.
I am still taking the orthopedic residency.
I'm still straight and I still root for the Niners.
Thank God for that.
You know, I remember when you could still smoke a cigar in here.
You know, I remember when you first let me have one.
I was 16.
Whoa! You let her smoke? Well, it was a different time.
What? She's, like, four years older than me.
Well, that was before I quit for your mother.
Drinks all around.
Yeah? Uh, not for me.
No, I've got a shift on in an hour.
You know, honey, I worry about you out there.
I can handle myself, Dad.
I don't doubt that.
And when you decided to take a year off, did I squawk? No.
Not even when that one year turned into seven.
But, any father worries about his only daughter when she's out at Hunter's Point at 3:00 a.
Dad, I can get a cop faster than anybody.
And God knows she probably has.
Hey, guys.
Quit it.
You're good.
Happy birthday, Dad.
Happy birthday, Dad.
You know, getting old isn't It's not so bad.
You're not getting old.
Ah! Spoken as only a young man could.
Hey! How are you? It's the What is their name? DiMaggios.
Hey! Yeah.
Um Excuse me for a minute, please.
How come you're still trying to piss him off? I'm not.
Believe it or not, most of my decisions these days have nothing to do with him.
Why are you still sucking up to him? Excuse me? Can we get the check, please? Oh.
Carnahan's already taken care of it.
Oh, God! Help! Help me! The man has a will to live.
Or he's really stoked for the workman's comp claim.
Why aren't you pulling him up? He won't let go.
He's got the scaffold in a death grip.
He might have a severed nerve.
Whoa! Help! Help me! All right.
Hey, can you hear me? What's your name, bud? Roy.
Okay, Roy, I need you to try and let go.
I can't.
I just can't.
I don't want to fall.
You're not going to fall.
But if you stay here, you're going to bleed to death.
All right.
Now, one at a time, okay? I can't.
You can.
One finger at a time.
One, two, three.
I got you.
I need you to let go of my hand.
I can't.
Bring us up.
Okay, City.
I've got a 36-year-old male with an arterial bleed.
Find me Dr.
Joe Saviano.
So, I guess you aren't afraid of heights, huh? I'm starting to learn.
My wife's going to kill me.
She bought me this shirt.
Ah, I'm sure she'll give you a pass.
You don't know Kaylie.
Hey, Joey, I've got a 36-year-old male.
He fell through a window.
He's got an arterial bleed in his right arm.
I'm running him on NS through a 14-gauge.
BP is 90 over 55.
Open up I know.
I know.
What's going on? God, he's Well, he's going hypotensive.
He's lost some blood, but not that much.
Something's going wrong.
Hey, Roy.
Roy! What's on the monitor? What's happening, Rabbit? No pulse.
This is not good.
His rhythm.
Did you lose his pulse? Rabbit? How far out are we? Joe.
This guy was fine, then he went hypotensive.
Now, he's cardiac arrest.
I've got him on bilateral IVs.
I've stopped the bleeding.
It can't be that.
He said he's not on any medication, and he's got no allergies.
Something's wrong.
Some kind of blockage.
The heart, the lungs.
It sounds like a pulmonary embolism, Rabbit.
It does not look good.
We need the Trauma Team on standby for when we get to the helipad.
We'll have them there.
Come on! When are we going to get there? We're one minute out, Rabbit.
One minute out.
Come on, Roy.
Come on, man! We got him.
How's he doing? He's not.
What? He coded.
It happens sometimes.
You know.
One minute, he's fine.
The next I think he had some kind of blood clot in his lung or Nothing to do with the accident.
Can't do anything about it.
Nothing, huh? Nothing.
Not you, not me.
You got a form, please? Are you doing okay? Yeah.
I thought we had a save.
Yeah, well Man, you just worked really hard, you know, to keep him alive, and then he codes, and you're just acting like you're not even affected.
Hey, it affects me.
I just deal with it.
Okay? How come you're not? I don't know.
I guess I'm just tired of it.
Yeah? Yeah.
No, no, no.
Not "whatever.
" God, I am so tired of you saying "whatever.
" You know, Rabbit, I am tired of you pretending like you don't care.
Like you're too cool to care.
Like you're just all numb.
Nothing affects you.
You're just too cool for school.
Well, you know what? I didn't come here to not give a damn.
God! You want to know what's wrong with me? No.
I don't.
I don't even remember that guy's name.
That is what's up with me.
The guy's name is Roy.
Throw it home! Throw it home! Throw it home! Whoa! Hey! Hey, Dougie can't speak, but, I think the group says, "Seriously hot, Nance!" What are you even doing here, Tyler? Your shift is over.
Got a shift swap with Freddy.
You are an overtime whore.
You know that, right? Ah, but a very sexy one.
Oh, yeah.
Come on! Let's do this! You looking for someone new? Hey, hey.
Uh, thanks.
Oh, man.
Don't be weird.
You're a good partner.
Just good? I mean, come on.
Where do you stand on gay marriage? Or do you lie down for it? Hey.
Or do you sit for it? I just want to know what position Hey, knock it off, man.
Knock it off.
Hey, let me ask you a personal question.
How much you make last month? Including overtime? More than you.
Oh, wait.
Way more than you.
Blah Blah.
Okay? That's Yeah.
Captain? Hey.
Tyler took a double shift, and I want to go with him.
God bless you.
He'll be homicidal in an hour.
It wouldn't be fair to put him with someone else.
I agree.
Hey, babe.
Where are you? I'm going to take another shift.
Well, it would have been nice to know this a little earlier.
I know.
I'm sorry.
I just want to score some points with the boss.
Well, it's not exactly scoring points with me.
I hear you.
You know what? It's all right.
It's okay, baby.
I love you.
I love you, too.
Be safe and tell Tyler not to drive like a maniac.
I'll do that.
I can't I can't feel my lips.
You're not supposed to run IVs, okay? But frankly, you need the practice.
But if you're going to keep missing sticks Hey, if you're talking about that lady who was like 103, her veins were like thread.
Where is this? I am getting better, though.
You want to see? Let me show you.
Let me show you.
No! Back off! Okay, let me see your arm.
A little black book, huh? I wonder who makes your top ten list.
It's not what you think.
"Needle cricothyrotomy"? I really worry about you, Glenn.
Can I have that? Can I Can I have that back, please? No way.
"Needle bore through the chest"? What is this? It's a wish list.
Just Oh.
Christmas will come soon enough.
I want to go home.
Infected belly button and an old lady with shingles.
Second shift is a bust.
Come in, Medic 78.
You jinxed us, man.
You opened your big mouth.
Excuse me.
Not you.
Shut up.
Medic 78.
Unresponsive woman trapped in home on Russian Hill, Structure compromised? Unknown.
Engine and Rescue Crew en route.
Medic 78 responding.
All right! Maybe we got some crush injuries, huh? I don't see any structural damage.
I wonder where she's trapped.
Can you please hurry? All right, ma'am.
Can you please stay outside? We don't know if this structure is stable.
Oh, don't be ridiculous.
Watch the paint.
Don't you have shoe covers? No, ma'am.
No shoe covers.
You should ask her where she keeps the good silver.
She hasn't been a size 8 since we were at St.
She's very dramatic.
She's having another one of her fits.
Come on.
Let's get her out of this.
Oh, no, you don't, young man.
No, I think you can get another dress.
Couture? Hand-beaded? That's okay.
So, ma'am, what's her name? That's my sister, Hazel.
Has Hazel been drinking? Only mint juleps.
Pupils are PERL.
Is she a diabetic? I told you.
She's very dramatic.
Hazel? For heaven's sakes, stop that this instant.
Whoo! Hello! Uh-huh.
Diabetic shock.
All right.
Saline, wide open.
Let's push one amp of D50.
All right.
Are you ready? Uh-huh.
All right.
Is she lethargic? Been eating well? Well, she's very tired, but you can see how irritable she is.
Am not.
Oh, I beg your pardon.
Oh, I didn't mean to yell like that.
I don't know why I did that.
No, it's okay.
I just want to get you on the monitor.
Oh, you're sweet.
Could I put a little make-up on? All right.
Here we go.
Whoa! Is that bad? All right, ma'am, I need you to blow into the plunger.
Just try.
It's a classic lead-up to a heart attack.
We've got to get Hazel to the hospital.
Second dose.
Hazel, I'm going to give you something that's going to make you feel uncomfortable.
All right.
Is she going to be all right? Hey, why don't you run the report? I'll be there.
All right.
Go ahead and check her pulse.
You're coming with me.
Why don't you wait in here? Can I get you any coffee? How long will she have to stay? I'll find out.
But, uh, I want you to wait in there, okay? Okay.
Not her first time here, is it? Let's just say, I'm familiar with the LaClamp sisters.
Those ladies really need help.
She's gonna be okay.
This time.
Why don't you sit down? Now, Camilla, I know you and your sister have been here before.
Are they going to put us in a home? No, no.
Nobody's going to do anything.
But I want you to listen to me.
Okay? You have done a good job of taking care of you and your sister.
But she has diabetes.
And today, she went into a diabetic coma.
And that led to a heart attack.
It gets so overwhelming at times.
I know.
And it's okay to say, "I need help.
" I need help.
Come on, tell me, who did you go to lunch with? Nope.
Someone was worth getting all dressed up for.
You look really good out of that monkey suit.
You really want to know? Yeah.
Yeah, wow.
I am bored again.
Free-base on some of this caffeine.
Dude, how many of those did you drink? Just one.
Oh, video games.
Always a good move.
What have you got? What have you got? Yeah, Griffin left it in my car.
It's Mario Kart.
Mario Kart.
Unless they crash, I don't really I like the violent stuff.
Gee, what a surprise.
Now, I remember why I do not do doubles.
Oh, why? The excitement too much for you? Yeah.
Oh, you can crash.
Here, let me see.
I can make a Mario Kart pile-up.
" Hello.
Hey, babe.
Are you okay? Oh, yeah.
I just wanted to say good night to the kids.
I put them to bed hours ago.
It's like 11:30.
I was sleeping.
Oh, I'm sorry, babe.
Go back to bed.
Um I love you.
Love you.
Sounds like that went well.
Dad, what are you doing here? Anson Arterberry had a heart attack.
Lauren's dad? Yeah.
Oh, no.
Is he going to be okay? You know, I don't know.
Well, is Lauren here? No.
She's on her way in with her mother.
And this? This? What's What's all this? Oh.
You probably don't want to know.
Well, probably not.
Send Lauren my best.
Oh, sorry.
Uh I wasn't even looking.
I'm sorry.
I didn't see you.
How's it going? Good.
Well, weird.
So, I keep trying to figure out Nancy, right? And the more I learn, the less I understand.
Oh, yeah.
Girls can be like that.
It's not that.
Did you know that her dad was the chief of staff here? Yeah.
What? Huh.
No, it's just that the doctors' kids where I grew up were all Oh.
Rich? Yeah.
So, what's the deal? You're not weirded out that she's a doctor, but you are weirded out that she's got money? Um, I don't You wouldn't understand.
It's Try me.
All right.
Well, my old man, he works for Con Ed, and I went to school at some really small little college in the middle of nowhere in Pennsylvania.
Where? Kutztown.
The Golden Bears.
How did Wait.
Wait a second.
How did you know that? I'm from Allentown.
I'm from Bethlehem.
I went to Penn State.
And I owe $175,000 in student loans.
Small world.
I meet a girl from Pennsylvania in an emergency room in San Francisco.
That's Crazy world.
And here, I thought you were a wine and cheese kind of girl.
Oh, no.
Beer and brats.
We should grab a beer sometime.
When do you have time? Never.
Yeah, me neither.
Same schedule.
Glenn? While we're young? Ooh, Cinderella calls.
I'm on my way, Nance.
See you.
I'll see you.
Have a good night.
We've got a water medevac in the Bay.
No, we don't.
Teddy and Butler got it.
What are you doing? I'm clocking out.
I am done.
Hey, hey.
Marisa, you hear me out on this.
Okay? No.
No, no, no.
About this morning.
You know as well as I do, people die.
Now, maybe Yeah, okay.
Maybe I don't handle it how you want me to.
But you not taking this call, that is not giving a damn! And that's not who you are.
And that sure as hell is not my pilot.
They got this.
Hey! You guys sit down.
Okay? No.
Rabbit, I am done.
Just shut up and get in the bird now.
Look, we've got two choices.
And it has to happen now.
Okay? You can go home and feel sad, or you can take this call and make a difference.
Is that boat sinking? Okay.
Quiet! Quiet! Listen to me! Okay? If you can walk, out on deck.
Can anybody here speak English? Anybody? He speaks English? Okay.
Sir, do you speak English? My English is good.
It's super.
Take him with you.
Yeah, yeah.
See if anybody is hurt and how bad.
This is Medic 114.
We're on the vessel, and we have multiple injuries.
Coordinate with the Fire Department to transport more medics and evacuate patients.
We are on a sinking boat.
Control, this is Angel Rescue 2, en route to the vessel.
Hold tight.
You hold on tight.
Okay? How we doing, Nance? We have lots of injuries.
And the boat seems to be taking on water.
Hey! Marisa! Hold up! Why? Four o'clock.
Body in the water.
Got you.
I'm moving in.
Hey, what's going on? Am I having a stroke? No.
They're Hungarian.
Blow-out in the left orbit.
Left radius and right ulna.
Clean out the blood, stop the bleeding, and monitor.
Possible fracture in the left tib fib and the right femur.
Please, relax your neck.
Please, relax your neck.
You got him? Yeah.
Yeah, me too, man.
What have we got? Hyopothermic.
Broken distal radius.
We've got to move.
Control, this is Angel Rescue 2 en route to Trauma Center.
Uh, you want to drive.
No can do.
Uh Dude, what are you doing? I'm ordering a beer.
Uh, okay.
You don't want a beer.
Stop it! No! Stop it! No! Get your hands off my copter! Shut up! Great idea.
You okay? Yeah.
114, this is Angel Rescue 2.
Now, go.
He say wife, boat.
What? Wife Wife You mean life boat.
Wife boat.
No, you idiot.
His wife is on the boat.
Right? Wife? Petronya.
She's on the boat.
You know her? Is she here? He have a lot of bathroom.
He is downstairs.
Get down there.
Get the wife.
Get down there.
Hurry up.
Okay, copy.
We got it.
Excuse me, people.
All right.
Whoa! Not good.
And the hits keep on coming.
All right.
Hey, Rabbit, you busy tonight? Never too busy for you, Tyler.
Hold on.
Let's Watch it.
I'm getting her legs.
Whoa, whoa, whoa! Come on, come on.
All right.
Hey, hey, she's pregnant.
Look under there.
What What have you got? Come on.
Come on.
Pull her.
All right, I got her.
Two, three.
I'm good.
I'm good.
All right, let's go.
You got her? Your hands on her? Watch out for her arm.
Okay, come on.
Okay, Rabbit.
We've got her.
She's pregnant.
We're on it.
Okay, I got her.
Any idea how pregnant she is? She say maybe eight months.
Maybe? Okay, I'd say she's almost full term.
Thirty-six weeks, maybe.
With a pulse oxi of 95.
Excuse me.
We've got a dilated cervix.
About seven centimeters.
Do not tell me she's in labor.
Your job is to keep that baby inside.
Yeah, sure.
There's a good idea.
Give 250 cc's of normal saline bolus.
Don't push.
No, no, no.
Do not push.
She's pushing.
Joe? Joe? I got a foot.
Rabbit, that's a breech.
Yeah, I know.
Well Uh-oh.
There's the other foot.
I've got to go.
This is going to pinch.
Hey, hey, hey, don't start.
Marisa, how far out? Three minutes out.
Oh, well, that's swell.
You know, we got the body out.
The head is stuck.
It's compressing the umbilical cord.
Just a few more minutes.
Marisa, we've got two patients who will be dead in a few minutes.
All right, baby.
Come on.
Come on, baby.
Come on, baby.
Here we go.
Here we go.
Yeah, yeah.
Yeah, yeah.
All right.
All right.
I've got to do a clip.
Do a clip.
Do a clip.
Here it is.
And, it's a boy.
It's a boy.
Is he breathing? Is he breathing, Rabbit? Is he breathing? No.
Come on, baby boy.
Come on, little man.
Come on, breathe.
Come on, little baby.
Breathe now.
Breathe now.
Come on.
Here, here.
Grab that.
Grab that.
That's good.
Good one.
Good, Dad.
All right.
Come on, baby boy.
Three, four, five, six, seven, eight Come on.
Come on, little boy.
Come on.
Is he breathing, yet? You'll be the first to know.
Rabbit, talk to me.
That's my boy.
Yeah, yeah.
Yeah, he's good.
Huh? Igor, Petronya Rabbit.
My name is Rabbit.
That's good.
Lean his little head.
Hold on to his little head over here.
Oh, it's all right.
You want to do that? You want to do that? Okay.
Here we go.
Hey, little fellow.
Just make sure he turns into a big guy.
Thank you.
Whole hospital is talking about you.
Yeah? What's new? Rabbit Boldizsar Csizmazia.
No one's ever heard of a paramedic delivering a footling breech.
So, he made it, huh? From what I hear, he's doing just fine.
Four pounds, five ounces.
Screaming his head off in the NICU.
What does that mean? Hungarian.
"I want a beer.
" Hmm.
Well So, there you go.
That's your first double in, what, six years? Five years? Six.
Six? Now, I know you didn't just do it for the money.
You wanted to visit Tyler's World, huh? Late nights.
No sleep.
Balls to the wall.
Tyler's World, huh? Yeah.
It's like an amusement park.
Don't tell me you're not amused.
You look amused.
You know what? You need to lay off the Stay Awake.
Yeah? You need to quit telling me what to do.
Speaking of What are we going to do? Well, I tell you what I'm going do.
I'm going to go home and go to sleep.
Maybe, you should lay off the Stay Awake.
All one of them.
Go home.
Be with your kids.
Good night.
Do you know if his patient, Anson Arterberry, is going to be okay? Coded during surgery.
They couldn't bring him back.
No, no Yeah! I got you, Giant Boo.
Now, I'm right behind you.
You can't pass me.
You don't know how to power slide.
What? Those are my sparks.
That's my cart that's making that.
Excuse me.
What are you two doing? I'm not tired.
Um Cameron, it's 1:00 a.
He has to go to school tomorrow.
Today, Mommy.
Meaning, let's go.
Come on.
Sleepy time.
School in the morning.
You've got to go to bed.
Cereal? Let's play tomorrow.
Come on.
You're getting big.
Oh, my goodness.
Let my leg go.
Come on.
All right.
Everything was closed, so there was no chance on brats, but I did find a place that sells Yuengling.
No way.
Um Way.
Where did you find those? You're a genius.
What can I say? Let's go have a beer.
Let's go.
Yeah, sure.
You want to carry it? Yeah.
I'd like to.
Oh, thanks.
I'll take one.
Here, you take that.
What do you want? I just want to hear it out loud.
What? I'm glad we went out.
And? And Yes, we made a difference.
Thank you.
Now, the man who died in our helicopter this morning, his name was Roy.
And the baby that was born there tonight, his name is Rabbit.
Don't forget either of them.
Dad! Dad, I am so sorry.
You know, I've known Anson Arterberry for, I don't know, maybe 25 years.
And you tell his family that you've done everything you could.
But it never really rings true.
And, of course, you never get used to that.
Losing them.
Yeah, I know.
But, you did get Help him, you know? Watch him live his life.
I only get with my patients.
Maybe your way is better.
Maybe not.
It's a hell of a family business.
So, why didn't you work in the E.
There? Are you kidding me? A bunch of drunk guys talking about cars